Publication:

Physician perspectives on non-steroidal anti-inflammatory drugs: a comprehensive survey on usage and preferences

Background Physician’s choices of NSAIDs are shaped by efficacy, safety, patient factors, and clinical context, impacting policies and patient outcomes. This survey aimed to explore NSAID use in acute painful conditions, focusing on healthcare professionals' preferences.

Methods A descriptive, questionnaire-based, cross-sectional study was conducted among 1,028 physicians at APICON-2024.

Results The survey found that 57.4% of respondents were consultants and 33.4% were general physicians. Most practiced independently (55.6%) or in hospitals (35.5% in government and 7.9% in corporate hospitals). Over 75% frequently prescribed NSAIDs, with diclofenac being the most common (54.8%). NSAIDs were typically prescribed for one week (72.6%) and used mainly for low back pain (77.5%), joint pain, migraine, and post-surgical pain. Safety concerns included gastrointestinal (72.4%), renal (59.3%), and hepatic issues. Over 68% viewed nimesulide as safer for the gastrointestinal and renal systems than other NSAIDs, though opinions varied. More than 90% of physicians also prescribed NSAIDs with paracetamol.

Conclusions The survey offers insights into NSAID use among Indian physicians, with frequent use for pain management, especially for low back and joint pain. Diclofenac is the most prescribed, with a typical duration of one week. Safety concerns remain significant, particularly regarding nimesulide. The findings highlight diverse practices and ongoing safety considerations in NSAID use.